Individual
MRS. ALYSSA WRISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560
(304) 691-6800
(304) 691-6751
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01748
WV
Other
Enumeration date
10/15/2013
Last updated
07/19/2022
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